June 17, 2024 – Stakeholder Update
Xov xwm tshaj plaws
BH-CONNECT Demonstration Addendum: Public Comments and Public Hearings
DHCS began a 30-day public comment period on June 14 for a new addendum to the pending Section 1115 Behavioral Health Community-Based Organized Networks of Equitable Care and Treatment (BH-CONNECT) Demonstration. The addendum aims to strengthen the continuum of care for Medi-Cal members with significant behavioral health conditions. California proposes enabling county behavioral health plans to opt into one or two new opportunities: Community transition in-reach services for individuals with long-term institutional stays, and room and board in enriched residential settings with 16 beds or less for up to six months for adults with significant behavioral health conditions and specified risk factors.
DHCS yuav tuav cov rooj sib tham rau pej xeem los thov cov lus tawm tswv yim los ntawm cov neeg koom nrog, muab kev tuaj koom thiab kev sib tham hauv online video thiab xov tooj rau kev nkag tau thoob plaws lub xeev. Lub rooj sib hais thawj zaug yog rau lub Rau Hli 25, 2024, txij 3:30 txog 4:30 teev tsaus ntuj PDT ntawm 1700 K Street, Chav 1014, Sacramento, CA 95814. Cov neeg koom nrog tuaj yeem sau npe rau lub rooj sib tham Zoom lossis hu rau (833) 548-0276 (hu dawb) lossis (915) 1321 2168 (tus lej nkag 062524).
Lub rooj sib hais zaum ob yog rau lub Xya Hli 2, 2024, txij 3:30 txog 4:30 teev tsaus ntuj PDT ntawm 1515 K Street, Chav 204, Sacramento, CA 95814. Cov neeg koom nrog tuaj yeem sau npe rau lub rooj sib tham Zoom lossis hu rau (833) 928-4608 (hu dawb) lossis (924) 713-3204 (tus lej nkag 070224).
Txhua cov ntaub ntawv tawm tswv yim rau pej xeem tau muab tso rau ntawm nplooj ntawv web DHCS BH-CONNECT, uas DHCS yuav hloov kho tshiab thoob plaws lub sijhawm tawm tswv yim rau pej xeem thiab cov txheej txheem thov. Thov xa email cov lus tawm tswv yim thiab/lossis cov lus nug rau 1115Waiver@dhcs.ca.gov.
Kalifonias ua kev zoo siab rau qhov kev tshwm sim tshiab rau Cov Tsev Kho Mob Cwj Pwm Tshiab
Thaum Lub Rau Hli 10, DHCS thiab Chaw Pabcuam Tib Neeg tau ua kev zoo siab rau qhov kev tsim kho tshiab ntawm lub chaw kho mob tus cwj pwm tshiab hauv Modesto los pab cov menyuam yaus, cov hluas, thiab lawv tsev neeg. DHCS tau muab nyiaj ntau dua $ 5 lab rau Chaw Pabcuam Tib Neeg los tsim kom muaj chaw nyab xeeb los daws cov teeb meem hauv kev noj qab haus huv ntawm lub hlwb thiab kev kho mob kev siv tshuaj yeeb dej cawv. Qhov no yuav ua rau Chaw Pabcuam Tib Neeg muaj peev xwm pabcuam ntau dua 1,425 tus tswv cuab hauv zej zog nrog cov peev txheej tseem ceeb txhua xyoo.
Also, on June 12, DHCS and Riverside University Health System celebrated the groundbreaking of a new behavioral health and physical health care campus called the Wellness Village that will serve individuals who need mental health and substance use disorder treatment. DHCS awarded Riverside University Health System more than $80 million to build a safe space to address gaps in behavioral health treatment. The portions of the campus funded through this effort will enable Riverside University Health System to provide critical resources to more than 20,900 community members annually.
DHCS yuav faib kwv yees li $ 4 billion hauv Behavioral Health Continuum Infrastructure Program (BHCIP) cov nyiaj pab raws li Proposition 1 bond funds los daws cov teeb meem keeb kwm hauv lub cev kho mob thiab ua kom tau raws li qhov kev thov nce ntxiv rau cov kev pabcuam thiab kev txhawb nqa thoob plaws lub neej ntawm cov neeg xav tau kev pab. Xav paub ntxiv txog Proposition 1 tuaj yeem nrhiav tau ntawm mentalhealth.ca.gov. DHCS muaj kev sib tham mloog pej xeem txhua hli. Cov kev hloov tshiab thiab cov ntaubntawv povthawj ntawm cov kev sib tham muaj nyob rau ntawm nplooj ntawv web Behavioral Health Transformation. Thov sau npe rau hauv peb lub vev xaib kom tau txais cov xov xwm tshiab txhua hli.
Kev hloov kho tshiab
Enhanced Care Management (ECM) rau Long-Term Care Population of Focus (POF) Spotlight
DHCS tsis ntev los no tau tshaj tawm ECM rau Long-Term Care POF Spotlight, uas yog tsim los pab kev cog lus thiab cov neeg muab kev pabcuam ECM yav tom ntej rau cov neeg laus, lossis muaj kev pheej hmoo nkag mus, kev saib xyuas mus sij hawm ntev (LTC) txhim kho thiab txhim kho lawv cov qauv ECM. Lub tsom teeb piav qhia txog txoj hauv kev uas cov chaw muab kev pabcuam tuaj yeem xa ECM thiab nqa cov kev pabcuam hauv zej zog txhawb nqa kom zoo tshaj plaws rau cov tswvcuab xav tau ntau thiab pab lawv hloov mus rau hauv zej zog. Cov peev txheej tshiab no yog npaj rau Medi-Cal cov phiaj xwm saib xyuas, ECM cov kws kho mob, cov neeg muaj feem xyuam, thiab cov neeg tawm tswv yim pab cov tib neeg tau txais kev pab LTC. Lub tsom teeb muaj xws li:
- Cov ntsiab lus ntawm ECM cov cai tseem ceeb rau LTC POF, nrog txoj kev hla kev txhawb nqa muaj rau cov tswv cuab nrog cov kev pabcuam mus sij hawm ntev thiab txhawb kev xav tau thiab txoj hauv kev ECM cuam tshuam nrog cov qauv no.
- Ob daim ntawv qhia ntxaws ntxaws uas qhia txog txoj hauv kev xa ECM rau LTC POF. Cov vignettes suav nrog cov piv txwv ntawm yuav ua li cas cov kev pabcuam kev hloov pauv hloov mus rau cov tswvcuab hauv ECM thiab cov tswv yim rau kev koom ua ke Cov Kev Pabcuam Hauv Zej Zog los ua haujlwm zoo tshaj plaws rau cov tib neeg thiab lawv cov neeg saib xyuas.
- Kev taw qhia txog yuav ua li cas cov chaw muab kev pabcuam ECM tuaj yeem pib tau, nrog rau kev sau cov peev txheej tseem ceeb thiab cov peev txheej nyiaj txiag.
DHCS cog lus tias yuav muab kev pab txog kev siv tshuab thiab kev txhawb nqa rau California lub network ntawm cov neeg muab kev pabcuam ECM uas tab tom loj hlob tuaj. Qhov no yog qhov thib peb hauv cov teeb pom kev zoo ECM uas DHCS tau tso tawm los txhawb cov neeg koom nrog nrhiav cov ntsiab lus ntxiv txog seb cov neeg muab kev pabcuam tuaj yeem hloov kho ECM li cas kom tau raws li qhov xav tau ntawm cov POF sib txawv. Yog xav nkag mus rau ECM LTC POF Spotlight thiab lwm yam spotlights, thov mus saib nplooj ntawv web DHCS ECM thiab Community Supports.
DHCS Tshaj Tawm "PATHways to Success" Web Portal
On June 17, DHCS launched the PATHways to Success web portal featuring on-the-ground testimonials from organizations across California participating in the California Advancing and Innovating Medi-Cal (CalAIM) Providing Access and Transforming Health (PATH) initiative to build their capacity and infrastructure to successfully participate in the Medi-Cal delivery system as California widely implements ECM, Community Supports, and justice-involved services under CalAIM. As community-based organizations, Medi-Cal providers, tribes, local government agencies, and others continue to participate in PATH, DHCS will showcase their firsthand accounts of providing ECM and Community Supports for the Medi-Cal members they serve.
Entities are invited to explore the new site and learn how PATH is helping organizations meet the needs of Medi-Cal members and provide coordinated, ongoing ECM and Community Supports. Please email your questions to communications@ca-path.com.
Koom nrog peb pab neeg
DHCS tab tom nrhiav tus kws tshaj lij, tshwj xeeb tshaj yog tus neeg mob siab los ua haujlwm xws li:
- Chief of the Clinical Assurance Division (CAD) to serve as the principal policymaker and lead the CAD team in the implementation of utilization management for Medi-Cal fee-for-service members in partnership with DHCS’ Health Care Benefits and Eligibility program. Additionally, the Chief of CAD is responsible for the administration of Treatment Authorization Requests (TAR), the TAR-free program, and post-payment utilization control of Medi-Cal benefits.
The salary range for this position is $11,435 to $13,623 per month. Possession of a medical license is desired, but not required. A salary range of $13,624 to $17,855 per month is available for candidates who are medical doctors or clinicians. (Final filing date: June 26)
DHCS is also hiring for legislative and governmental affairs, human resources, auditing, health policy, information technology, and other teams. For more information, please visit the CalCareers website.
Cov Rooj Sib Tham Cov Neeg Koom Tes thiab Webinar yuav los tom ntej
Children’s Presumptive Eligibility (CPE) and Newborn Gateway Portals
Thaum Lub Rau Hli 25 thaum 10 teev sawv ntxov. PDT, DHCS yuav tuav lub rooj sib tham zaum kawg txog CPE thiab Newborn Gateway portal. Kev sau npe muaj los ntawm Medi-Cal Learning Portal. Tsis tas li ntawd xwb, yuav muaj cov ntaubntawv kaw suab ntawm lub rooj sib tham hauv online los ntawm kev tshawb nrhiav tus lej kawm CNPE104RW.
Starting July 1, DHCS will introduce new online portals for providers to improve access to coverage and care for new families. Through CPE, providers may grant temporary, full-scope coverage to eligible applicants. This portal replaces the Child Health and Disability Prevention (CHDP) gateway portal. The Newborn Gateway portal is for reporting births with linkage to Medi-Cal and the Medi-Cal Access Infant Program within 72 hours of birth or 24 hours after discharge. Providers must complete certification training to use these portals and enroll eligible infants into coverage starting on July 1.
CalAIM PATH Cov Kev Cai Zoo Tshaj Plaws Webinar
Thaum Lub Rau Hli 27, txij 11 teev sawv ntxov txog 12 teev tav su PDT, DHCS yuav tuav lub rooj sib tham hauv online, Cov Cuab Yeej los Koom Tes Zoo Dua rau Cov Tswv Cuab Tsim Nyog hauv CalAIM (yuav tsum tau sau npe ua ntej). Lub rooj sib tham hauv online no yog ib feem ntawm cov rooj sib tham hauv online uas muaj ob xyoos ib zaug ntawm PATH Collaborative Planning and Implementation (CPI) uas tsim los qhia txog cov kev coj ua zoo tshaj plaws rau kev siv ECM thiab Community Supports, ua kom cov neeg muab kev pab koom tes zoo dua hauv CalAIM, thiab txhim kho kev koom tes nrog Medi-Cal managed care plans, cov koom haum tsoomfwv hauv xeev thiab hauv zos, thiab lwm tus los tsim thiab xa cov kev pabcuam txhawb nqa zoo rau cov tswv cuab Medi-Cal. Yog xav paub ntxiv, suav nrog cov peev txheej webinar yav dhau los thiab cov ntaub ntawv kaw, thov mus saib PATH CPI nplooj ntawv web.